Active NPI
Karen Jo Haskett, PH.D.
- Clinical Neuropsychologist
- Newport News, VA
National Provider Identifier
1205869039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810001067
- Practice address
- 708 Mobjack PL
Newport News, VA 23606-1957 - Phone
- (757) 873-1958
- Fax
- (757) 873-2143
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 0904 | NC | |
| Clinical Neuropsychologist | 103G00000X | 0810001067 | VA | Primary |
Addresses
Primary practice location
708 Mobjack PL
Newport News, VA 23606-1957
Mailing address
708 Mobjack PL
Newport News, VA 23606-1957
Phone (757) 873-1958
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4630404 | Other | VA | AETNA |
| 043272 | Other | VA | VALUE OPTIONS |
| 259180 | Other | VA | ANTHEM BLUECROSS/BLUE SHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904 | NC | MD | Clinical Neuropsychologist |
| 0810001067 | VA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Medicine Institute | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Newport News, VA
- NPI 1467558304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205869039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 MOBJACK PL",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061957",
"telephone_number": "757-873-1958",
"fax_number": "757-873-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 MOBJACK PL",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061957",
"telephone_number": "757-873-1958",
"fax_number": "757-873-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKETT",
"first_name": "KAREN",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NC",
"license": "0904",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "0810001067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4630404",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "043272",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUECROSS/BLUE SHI",
"identifier": "259180",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.